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Mr. Kelvin Tyrone Williams SR.
Driver in Kingsland, Georgia
NPI 1063199776

Kelvin Tyrone Williams SR. is a Driver based in Kingsland, GA. Kelvin Tyrone Williams SR. practices in Kingsland, GA. The NPI Number for Kelvin Tyrone Williams SR. is 1063199776 and holds a License No. 052191215 (Georgia).

The current practice location address for Kelvin Tyrone Williams SR. is 551 Henrietta St, Kingsland, GA and can be reached out via phone at 912-322-4613.

Location: 551 Henrietta St, Kingsland, GA, 31548-3233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063199776
Provider Name
Kelvin Tyrone Williams SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
551 Henrietta St, Kingsland, GA, 31548-3233
Phone Number
912-322-4613
Fax Number
Provider Enumeration Date
07/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
551 Henrietta St
City
Kingsland
State
Georgia
Zip
31548-3233
Phone Number
912-322-4613
Fax Number
person
Provider Business Mailing Address Details
Address
551 Henrietta St
City
Kingsland
State
Georgia
Zip
31548-3233
Phone Number
912-322-4613
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
052191215 (Georgia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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